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Case Reports
. 2017 Apr 12;5(6):801-804.
doi: 10.1002/ccr3.942. eCollection 2017 Jun.

Coincidence of follicular lymphoma and hurtle cell thyroid carcinoma in a patient at presentation: which one is the source of bone metastasis? Case report and review of the literature

Hasan Atilla Ozkan  1 , Arda Akoluk  2 , Turhan Ozler  3 , Isin Dogan Ekici  4 , Nalan Alan Selcuk  5
Affiliations
Case Reports

Coincidence of follicular lymphoma and hurtle cell thyroid carcinoma in a patient at presentation: which one is the source of bone metastasis? Case report and review of the literature

Hasan Atilla Ozkan et al. Clin Case Rep. .

Abstract

Thyroid incidentaloma is defined as a new identified thyroid lesion occasionally detected during imaging studies. Incidence of thyroid incidentalomas is relatively rare in patients with lymphoma. Because of high rate of malignancy, these lesions with high intensity focal 18 FDG uptake detected on positron emission tomography with computed tomography (PET/CT) should undergo to biopsy regardless of size.

Keywords: BMT; clinical decision making; follicular lymphoma; positron emission tomography with computed tomography; thyroid incidentaloma.

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Figures

Figure 1
Figure 1
FDG‐PET MIP image. (A) FDP‐PET image showing thyroid lesion, bone metastasis, and lumbar vertebra involvement(arrows),before chemotherapy. (B) Control FDG‐PET image after treatment showing full remission. (C) Whole body image after 200 mCI I131 treatment showing only thyroid involvement,arrow showing thyroid involvement.
Figure 2
Figure 2
Pathology images. (A) L3 vertebra aspiration and biopsy pathology results showing inflammatory. H&E x40. (B) Cervical lymph node biopsy results showing follicular atypical lymphoid cells. H&E x40. (C) Thyroid surgical material showing follicular carcinoma with hurtle cell variant.Thyroid capsule invasion is shown in arrow. H&E x40. (D) Right humerus bone marrow biopsy showing atypical lymphoid cell infiltration. Arrow shows bone metastasis. H&E x40.
See this image and copyright information in PMC

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